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Mitchell Blivaiss, MD
NPI 1730254434 · Pediatrics Physician · Evanston, IL
Mitchell Blivaiss, MD is a Pediatrics Physician provider in Evanston, IL (NPI 1730254434).
Provider details
- NPI number
- 1730254434
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
909 Davis St
Suite 200
Evanston, IL 60201-3645
Phone: (847) 866-3700
Fax: (847) 866-3731
Street-level locationGet directions
Mailing address
2650 Ridge Ave
Evanston, IL 60201-1718
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mitchell Blivaiss's NPI number?
- Mitchell Blivaiss's National Provider Identifier (NPI) is 1730254434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitchell Blivaiss's specialty?
- Mitchell Blivaiss is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mitchell Blivaiss located?
- Mitchell Blivaiss's practice location on file with NPPES is 909 Davis St, Evanston, IL 60201-3645.
- What is Mitchell Blivaiss's phone number?
- The practice phone number listed in the NPPES registry for Mitchell Blivaiss is (847) 866-3700.
- Is Mitchell Blivaiss's NPI active?
- Yes — Mitchell Blivaiss's NPI (1730254434) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.